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It is common to experience dentine hypersensitivity, with symptoms ranging from moderate to severe. Why does it happen and how do you know if this sensitivity is something to be concerned about? The first step is to determine the cause.

The most common cause of the sensitivity is exposure of the dentin. Dentin is the layer immediately surrounding the nerve of the tooth. It is alive and usually covered by the gum tissue. When gum recession is present hypersensitivity is common. Other contributors to temporary tooth hypersensitivity include teeth whitening and dental procedures such as fillings, periodontal treatment, and braces placement or adjustment. These are temporary and should be of no concern.

Permanent hypersensitivity, however, may require treatment. To understand the cause of sustained hypersensitivity, let us explain the structure of dentin and why it serves as a ‘hot spot’.

The dentin contains a large numbers of pores or tubes that run from the outside of the tooth to the nerve in the center. When dentin tubes are exposed, there is a direct connection between the mouth and dental pulp, which houses the nerve and blood supply of the tooth. External stimuli, such as mechanical pressure (tooth grinding or clenching - bruising the ligaments holding the teeth in place), temperature changes, as well as chemical stimuli (sweet–sour) are transmitted to the pain-sensitive dental pulp and activate nerve endings. A short and sharp pain is the result. These external stimuli cause fluid movement in the open tube that is transmitted as pain sensations. Something needs to be placed into the dentin tube to plug it and stop this fluid movement.

The first step in doing something about dental hypersensitivity is to determine the cause; our professional team at Oral and Maxillofacial Surgery of Coastal Georgia can help you with this. Whether the sensitivity is due to exposed dentin or an underlying cause such as abscess or decay, corrective measures are needed. Contact us sooner rather than later so Dr. Theodotou can reduce the sensitivity, and provide you with some relief!

Did you know that Human Papilloma Virus (HPV) and oral cancer are linked? This information may prevent you or a loved one from suffering from oral cancer if a diagnosis is made early. Dr. Theodotou and our team want you to understand how you can prevent the spread of oral cancer and protect yourself if you have HPV.

People don’t often speak up about this common virus, but we believe it’s important to educate yourself to prevent the potential spread of oral cancer. According to the Centers for Disease Control and Prevention, up to 80% of Americans will have HPV infections in their lifetime without even knowing it. Symptoms usually go unnoticed, though it’s one of the most common viruses in the U.S. The body’s immune system is generally able to kill the HPV infection without causing any noticeable issues. If you think you might have HPV, talk with primary care physician about getting the preventive vaccine or taking an HPV test.

According to the Oral Cancer Foundation, “HPV is the leading cause of oropharyngeal cancers (the very back of the mouth and throat), and a very small number of front of the mouth, oral cavity cancers. HPV16 is the version most responsible, and affects both males and females.”

Common signs of oral cancer may include:

• Ulcers or sores that don’t heal within a couple of weeks
• Swelling, lumps, and discoloration on the soft tissues in the mouth
• Difficult or painful swallowing
• Pain with chewing
• Persistent sore throat
• Numbness of the mouth or lips
• Lumps felt on the outside of the neck
• Constant coughing
• Earaches on one side of your head

If you experience any of these side effects, please contact Oral and Maxillofacial Surgery of Coastal Georgia as soon as possible.

We hope this information will help you understand the interactions between HPV and oral cancer. Please remember to take precautionary steps if you notice anything out of the ordinary with regard to your oral health. If you have any questions or concerns, contact our Pooler office.

It's almost game day and you're wondering what to put on the menu for your guests. Most snacks are typically highly processed and unhealthy. Why not mix it up this year and opt for some snacks that promote good oral health? Here are some of Dr. Theodotou favorites!

• Apples, carrots, celery, and cucumbers: These foods and other crispy, fibrous, fruits and vegetables are an excellent choice for the big game. Not only are they rich in vitamins and minerals which your body and mouth need, they are also known as detergent foods because of the cleaning effect they have on the teeth and gums. Try apples wedges spread with peanut butter and sprinkled with cinnamon.
• Beans: Beans are filling because they are packed with fiber and that keeps you from opting for sugary or fatty snacks. Along with fruits and vegetables, beans should be one of the stars of your game-day snack lineup. How about some hearty chickpea hummus with cucumber chips?
• Nuts like almonds, walnuts, pistachios, and cashews: Nuts abound in the minerals that help keep your teeth and gums strong like calcium, magnesium, and potassium. Put out a bowl of raw or roasted nuts for your guests as a crunchy, satisfying alternative to chips or crackers. Recent research even shows that the polyunsaturated fatty acids in nuts may help prevent gum disease. But remember not to eat the whole bowl! Nuts are very high in calories and a little goes a long way. Enjoy and handful or two along with your other healthy snacks.
• Dark chocolate: This one may be hard to believe at first, but research shows chocolate can be great for your teeth and help prevent decay! Now don't run off and start stocking your pantry with a bunch of that super sweet stuff, because these benefits come mainly from the tannins, polyphenols, and flavonoids present in the cacao bean. Dark chocolate is the least processed variety of chocolate and the closest to the cacao bean, so make sure you purchase a variety that is listed as 70% cocoa or more for these benefits. Like with nuts, chocolate is easy to overdo — aim to eat two or three squares.

Today’s braces have come a long way. Braces are less conspicuous, easier to keep clean, and, often, treatment takes less time than it did in the recent past. With early intervention and modern treatment techniques, orthodontists are able to help make your orthodontic journey more confident, carefree, and efficient.

Even with all of the benefits of modern orthodontics, though, there are still some reasons that a tooth should be extracted to give a patient the best, healthiest alignment and bite. When might your orthodontist recommend an extraction?

• Large teeth and/or a small jaw can mean that there’s just not enough space for your overcrowded teeth.
• The placement of a tooth or teeth make it impossible to correct a bite problem.
• Your wisdom teeth are impacted or erupting, and are likely to interfere with your bite and/or crowd your teeth.
• You have an extra, or supernumerary, tooth—a rare occurrence which can cause crowding, tooth displacement, or even block a healthy adult tooth from erupting.

If your orthodontist recommends extraction, it makes a lot of sense to ask for a referral to an oral and maxillofacial surgeon like Dr. Theodotou. Why an oral surgeon?

• Anything other than a simple extraction requires surgical treatment, and your oral surgeon has spent years of additional specialized medical study and training after dental school focusing specifically on facial, jaw, and dental surgeries.
• Oral surgeons know how to deal with complicated extraction issues and potential complications. Teeth that lie close to a nerve, teeth that are impacted, or teeth with long, curved roots most often mean that surgical extractions are the best and safest options.
• Your oral and maxillofacial surgeon is trained to administer all forms of anesthesia, including not only local anesthesia but a variety of sedation options as well. You can decide on the method that will make you most comfortable.
• Oral surgeons have a wealth of experience in extractions, whether simple or complicated, because this procedure is performed regularly in their offices.

If your orthodontist has recommended an extraction in order to achieve your healthiest bite and alignment, ask about our Pooler oral and maxillofacial surgery office.